Public Record
Kadima Rehabilitation & Nursing at Lititz
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 42
- Avg. residents per day
- 39.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 63
- Inspections on file
- 10
- Last inspection
- 2026-01-23
*CMS
*CMS
*CMS
Citations
63 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0697Seriousactual harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0628Generalpotential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0801Generalpotential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0882Generalpotential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- 0004Generalno actual harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0006Generalpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0100Generalno actual harm
Meet other general requirements.
- 0225Generalpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0291Generalno actual harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0293Generalno actual harm
Have properly located and lighted "Exit" signs.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0341Generalpotential for harm
Install a fire alarm system that can be heard throughout the facility.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0346Generalno actual harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0354Generalno actual harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0700Generalno actual harm
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- 0741Generalpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0567Generalpotential for harm
Honor the resident's right to manage his or her financial affairs.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0602Generalpotential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0568Generalpotential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- 0325Generalpotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0131Generalpotential for harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0761Generalno actual harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0912Generalpotential for harm
Have power receptacles that are properly grounded.
- 0914Generalno actual harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0225Generalpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0582Generalno actual harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0641Generalno actual harm
Ensure each resident receives an accurate assessment.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0100Generalpotential for harm
Meet other general requirements.
- 0293Generalno actual harm
Have properly located and lighted "Exit" signs.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection2 deficiencies
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on a review of the facility's policy, clinical records, hospital records review, and staff interview, it was determined that the…
Read full statement of deficiencies - Inspection2 deficiencies
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on a review of the facility's policies, clinical records review, and…
Read full statement of deficiencies - Inspection32 deficiencies
F 0567 Honor the resident's right to manage his or her financial affairs. Level of Harm - Minimal harm or potential for actual harm Number of residents sampled: Number of residents cited: Residents Affected - Few Based upon interview, it was determined the facility failed to ensure residents…
Read full statement of deficiencies - View inspection reportInspection32 deficiencies
- Inspection3 deficiencies
F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Minimal harm or potential for actual harm Based on review of the Pennsylvania Nursing Practice Act, residents' clinical records, and the facility's investigative documents, as well as…
Read full statement of deficiencies - View inspection reportInspection1 deficiency
- Inspection6 deficiencies
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based upon review of the clinical record and facility documentation, it was determined the facility failed to follow physician orders for…
Read full statement of deficiencies - View inspection reportInspection6 deficiencies
- View inspection reportInspection17 deficiencies
- Inspection17 deficiencies
F 0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Level of Harm - Potential for minimal harm Based on review of facility documentation and staff interview, it was determined that the facility failed to provide the required Notice of…
Read full statement of deficiencies
FAQ
Questions and answers
- What is Kadima Rehabilitation & Nursing at Lititz?
- Kadima Rehabilitation & Nursing at Lititz is a Medicare- and Medicaid-certified nursing home in Lititz, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 395590.
- What is the CMS rating for Kadima Rehabilitation & Nursing at Lititz?
- Kadima Rehabilitation & Nursing at Lititz has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Kadima Rehabilitation & Nursing at Lititz have?
- Kadima Rehabilitation & Nursing at Lititz is certified for 42 beds. It serves an average of 39.5 residents per day.
- How many citations does Kadima Rehabilitation & Nursing at Lititz have?
- Kadima Rehabilitation & Nursing at Lititz has 63 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Kadima Rehabilitation & Nursing at Lititz last inspected?
- Kadima Rehabilitation & Nursing at Lititz was last inspected on January 23, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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